{"id":1029,"date":"2020-05-18T16:10:48","date_gmt":"2020-05-18T14:10:48","guid":{"rendered":"https:\/\/swissglobalinsurance.com\/faq\/"},"modified":"2022-08-09T17:32:53","modified_gmt":"2022-08-09T15:32:53","slug":"faq","status":"publish","type":"page","link":"https:\/\/swissglobalinsurance.com\/en\/faq\/","title":{"rendered":"FAQ"},"content":{"rendered":"
[et_pb_section fb_built=”1″ _builder_version=”4.16″ global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ custom_padding=”||0px||false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ global_colors_info=”{}”][et_pb_text _builder_version=”4.16″ text_font=”|300|||||||” header_font=”Proza Libre|700|||||||” header_font_size=”36px” header_2_font=”Proza Libre|500|||||||” header_2_text_color=”#5b86e5″ header_2_font_size=”24px” header_2_line_height=”1.4em” header_font_size_tablet=”” header_font_size_phone=”24px” header_font_size_last_edited=”on|phone” global_colors_info=”{}”]<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.16″ custom_margin=”||||false|false” custom_padding=”||||false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ global_colors_info=”{}”][et_pb_accordion open_toggle_text_color=”#2D2341″ open_toggle_background_color=”rgba(0,0,0,0)” closed_toggle_background_color=”rgba(0,0,0,0)” icon_color=”#36d1dc” use_icon_font_size=”on” module_class=”accordion-faq” _builder_version=”4.17.4″ toggle_text_color=”#2D2341″ toggle_level=”h3″ toggle_font=”Open Sans||||||||” toggle_font_size=”20px” hover_enabled=”0″ custom_css_toggle=”margin:0″ border_width_all=”0px” global_colors_info=”{}” sticky_enabled=”0″][et_pb_accordion_item title=”Do I need to be an expatriate to be eligible for cover?” open=”on” use_icon_font_size=”on” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||”]Absolutely ! You should have the clear legal status of an expatriate in order to be eligible for cover.<\/p>\n
Swiss residents you are eligible if you are not obligated to subscribe to the mandatory basic insurance (LAMAL), <\/p>\n
including employees of United Nations and all international organizations, NGOs, Diplomats, International Students etc. In case of doubt on your status, please do contact us in order to verify.[\/et_pb_accordion_item][et_pb_accordion_item title=”I am 66 years old (or more), can I enroll and be eligible for cover?” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off”]<\/p>\n
Unfortunately no, acceptable age for enrolment is up to maximum age of 65.
\nNonetheless, exceptions may apply under conditions of reserves and\/or exclusions as well as personalized pricing offer.<\/p>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”I am already an insured member, will I be eligible for renewal cover after the age of 66 (or more)?” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off”]<\/p>\n
Absolutely !
\nOnce you are an insured member, you will benefit from our lifetime renewal guarantee.<\/p>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”I have a medical case and\/or pre-existing condition, am I eligible for cover?” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off”]<\/p>\n
Yes.
\nUnder the condition it has been declared at the time of the enrolment and accepted by Swiss Global Insurance.
\nYou will then be covered up to the pre-existing condition limited refund as stated in the plans details and general conditions.
\nIn case of doubt on your status, please do contact us in order to verify.\n<\/p>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”Do you need original bills to process claims?” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off”]<\/p>\n
No !
\nClear scans sent by email will do (except for Switzerland where originals are required).<\/p>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”How long does it take to process claims?” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off”]<\/p>\n
\u2013 General claim inquiries: within 3 working days of the date of e-mail receipt.
\n\u2013 Fully documented claims submission: within 4 weeks.<\/p>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”Where do I need to send my bills to have my claims processed?” _builder_version=”4.17.4″ hover_enabled=”0″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off” sticky_enabled=”0″]<\/p>\n
Send your claims to: claims@swissglobalinsurance.com
T\u00e9l: +41 22 560 61 70
IMPORTANT: Please keep a copy of all original documents you send.<\/p>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”What number should I call in case of Hospitalization?” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off”]<\/p>\n
\u2013 Hospitalisation : +41 22 310 38 94 .<\/p>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”What number should I call in case of Emergency Evacuation?” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off”]<\/p>\n
\u2013 Emergency Medical Evacuation : +41 22 310 37 88 <\/p>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”Who is eligible for cover?” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off”]<\/p>\n
ANYONE, as a member of Swiss Global Insurance, under the age of 65 at the time of enrolment, and their dependents :
\nrespectives :<\/p>\n
Your spouse, provided you are not divorced or living apart under an implied or expressly written separation agreement.
\nWe recognize common law and \u00ab Pacte Civil de Solidarit\u00e9 \u00bb \u00ab P.A.C.S. \u00bb agreements; proof of status must be supplied by policyholder at the time of enrolment.
\nYour children, and\/or those of your spouse (or, if you are not married, those of your common law spouse or partner), under the age of 21, provided that they are financially dependent on you.
\nBetween 21 and 26 years of age, children enrolled in full time secondary or higher education (written proof of enrolment at an educational establishment is required) are eligible for coverage as dependants under the Swiss Global Insurance policy. They may take on paid employment provided they do not work for more than three months per year Dependents are eligible for cover only if the policyholder is covered under the healthcare program.<\/p>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”When and for how long are you covered?” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off”]<\/p>\n
When and for how long are you covered ? Coverage for members and dependants begins upon enrollment into any of Swiss Global Insurance plan (a complete signed application form must be submitted and accepted). Enrolment is subject to acceptance by Swiss Global Insurance.
\nCoverage is automatically renewed with no limit in time.Swiss Global Insurance offers lifetime healthcare cover provided you take out a policy before the age of 65.<\/p>\n
You are insured, the moment Swiss Global Insurance approves your application and premium is paid :<\/p>\n
Immediately for medical attention and\/or hospitalization following an accident or the onset of an infectious disease;
\nfor maternity after a 10 month waiting period;
\nfor Dental & Orthodontic treatment after a 9 month waiting period;
\nfor check-up waiting period depending on your plan.
\nThe medical coverage terminates at the request of the member by sending to Swiss Global Insurance a written notice minimum 30 days for the end of the year or, it can be terminated at anytime by Swiss Global Insurance for non payment of premium.<\/p>\n
[\/et_pb_accordion_item][et_pb_accordion_item title=”Emergency evacuation & repatriation” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off”]<\/p>\n
Scope of coverage
Insured Persons have access to the following services. For certain services, specifically evacuation, medically supervised repatriation and repatriation of mortal remains, reimbursement is subject to the schedule of benefits.
The following services are provided by our 24-hour assistance.<\/p>\n
Benefits
The Insured Person may contact SWISS GLOBAL ASSISTANCE to obtain the following travel information and services before starting or during his journey:<\/p>\n
To comply with the terms and conditions of the Policy, the Insured Person needs to contact Swiss Global Assistance
for pre-authorization before any evacuation and assistance costs are incurred. If the Insured Person fails to follow this condition, he will be liable to pay full costs of any transportation. Our contact information is on your membership card.<\/p>\n
Emergency Evacuation & Repatriation Contact:<\/strong> [\/et_pb_accordion_item][et_pb_accordion_item title=”How to be reimbursed?” _builder_version=”4.17.4″ hover_enabled=”0″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off” sticky_enabled=”0″]<\/p>\n Please send your claim form within maximum 90 days from the date of treatment to the Swiss Global Insurance Claims Service Center.<\/strong> For vision care, prescription drugs or laboratory exams, the corresponding prescription must be included with the bills.<\/p>\n If you or your dependents are covered by a Social Security system or another healthcare plan, you must first obtain the reimbursement from this primary insurance before sending your claim to the Swiss Global Insurance Claims Service Center. Please accumulate your small medical and dental bills until you have enough to justify a significant reimbursement.<\/strong><\/p>\n Send your claim to: [\/et_pb_accordion_item][et_pb_accordion_item title=”Administrative Procedures” _builder_version=”4.16″ global_colors_info=”{}” toggle_level=”h3″ toggle_font=”Open Sans||||||||” open=”off”]<\/p>\n Direct billing (Pre-certification)<\/strong><\/p>\n \u2013 for Delivery<\/strong> \u2013 for Hospitalization (Medical or Surgical reasons)<\/strong><\/p>\n Planned hospitalization In case of emergency<\/strong> For Pre-certification and Emergency, please use the following telephone number : +41 22 310 38 94<\/strong><\/p>\n Prior approval<\/strong> , or for the following courses of treatment:<\/p>\n Medical prosthesis other than dental For prior approval and for information on reimbursment ceilings, [\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Frequently Asked Questions Do you have a question? Answers to frequently asked questionsAbsolutely ! You should have the clear legal status of an expatriate in order to be eligible for cover. Swiss residents you are eligible if you are not obligated to subscribe to the mandatory basic insurance (LAMAL), including employees of United Nations and […]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1029","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/swissglobalinsurance.com\/en\/wp-json\/wp\/v2\/pages\/1029","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/swissglobalinsurance.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/swissglobalinsurance.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/swissglobalinsurance.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/swissglobalinsurance.com\/en\/wp-json\/wp\/v2\/comments?post=1029"}],"version-history":[{"count":9,"href":"https:\/\/swissglobalinsurance.com\/en\/wp-json\/wp\/v2\/pages\/1029\/revisions"}],"predecessor-version":[{"id":2302,"href":"https:\/\/swissglobalinsurance.com\/en\/wp-json\/wp\/v2\/pages\/1029\/revisions\/2302"}],"wp:attachment":[{"href":"https:\/\/swissglobalinsurance.com\/en\/wp-json\/wp\/v2\/media?parent=1029"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Swiss Global Assistance
T\u00e9l\u00e9phone 24\/24 : +41 22 310 37 88.<\/p>\n
The claim form must be completed and sent by email to SGI International Services at claims@swissglobalinsurance.com along with scanned invoices and payment receipts as well as other relevant documents justifying your request. Each document must state the name of the patient, date of cares, a full description of cares, the amount of medical expenses for each category of cares, the name, the address and the telephone numbers of the physician, of the medical facility.
Each document must state the name of the patient, date of cares, a full description of cares, the amount of medical expenses for each category of cares, the name, the address and the telephone numbers of the physician, of the medical facility.
Receipts must have all these information to be accepted.
We suggest that you keep the originals as our claim department may request the originals at any time.
(Except invoices established in Switzerland, please send us the original documents, take the precaution of making photocopies of all documents before sending originals).
Please follow the instructions on the form.<\/p>\n
In this case, please enclose with each claim a copy of all medical and dental bills relating to the claim, as well as the original statement of the prior reimbursement Swiss Global Insurance may ask you additional information that may be necessary to solve your benefit claim.<\/p>\n
Swiss Global Insurance<\/strong>
c\/o Swiss Health International
Claims Service Center
Place de la Fusterie 12
CH \u2013 1204 Geneva \u2013 Switzerland
Tel<\/strong> : +41 22 560 61 70
E-mail :<\/strong> claims@swissglobalinsurance.com.<\/p>\n
Swiss Global Insurance issues a Letter of Guarantee (pre-certification) to the medical facility in order to settle directly the delivery charges according to the terms and conditions of your plan You will therefore benefit from a direct payment to your medical provider and will not need to claim for reimbursement.<\/p>\n
Simply contact Swiss Global Insurance ten days before admission, to ensure preparation of a Pre-certification agreement which will be sent by SGI to the medical provider. You will therefore benefit from a direct payment without any advance payment from your end. You will only pay those charges that are not covered by your plan such as your personal expenses (telephone and television rental, etc\u2026) In order to facilitate any admission or any administrative procedures between Swiss Global Insurance and medical facilities, simply show your insurance card to the admission desk. The medical facility will then contact us directly.<\/p>\n
Just go directly to the hospital, show your insurance card to the admission desk and ask the person in charge to contact directly Swiss Global Insurance within the next 72 hours after your admission. We will provide the medical facility with a pre-certification agreement.<\/p>\n
Swiss Global Insurance prior approval is required for hospitalization, maternity, expenses over 400 \u20ac<\/p>\n
Stays in medical facilities
expenses over 400 \u20ac
Series of medical services as soon as there are more than 5 sessions: services by paramedical practitioners such as physiotherapy, acupuncture, osteopathic or chiropractic treatment
In order to obtain prior approval, have your doctor send to Swiss Global Insurance a treatment plan with a medical report, including medical prescription, X-rays and detailed cost estimate. Prior approval given by Swiss Global Insurance is then valid for the specified medical services within the limits indicated in the text of the approval.
Reimbursements may be reduced by 50% if you do not request SGI prior approval (including for hospitalization and maternity).<\/p>\n
please contact us on the following telephone number : +41 22 310 38 94<\/p>\n